HomeMy WebLinkAbout025-160-097TRAVEL TRAILER,
10/28/97
_ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 17 PFMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
095-160-097
ZONING
BUILDING PERMIT
OWNER
ALEX JTMENEZ
TELEPHONE
743-1130
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
C,Qam R'S NAME
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 9 PARCELS NORTH OF 1514 LONETREE RD
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ OtherWater
SPECIFY
Each Trap
7.00
Solar or heat'pump water heater
23.00
piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoos OR LEss
23.00 23-00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of, perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do. the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
ADDNS. ( & ACC. BLAS.
SO
3.5Q FT.
N -WOR
NON -R SND• ANCI C,CUT
@7.50
POWER APPARATUS
8 SINGLE. rn CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ I.00
BAL O .SO
XPPUNS
Ex. Occup. OUTELETS RES 0" EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.0093 00
PRE QN
PERMIT FEE
$
qo on
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with th a provisions.
f �% ��]
X __ Date O 7 _
Sig a ure Ap ant - wner ❑ 159" tractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 89.00
HAZ.
D. FES
IMP
FLOOD
17777
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. 231052
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1
.",V
UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center'Drive - Oroville,' California 95965 - Telephone (916) 538-7541 P MIT o.
(Rev. 12/96) APPLICATION AND PERMIT
'ASSESSORPARCELNUMBER:
0?5-360-097X�
ZONING
BUILDING PERMIT
OWNER
ATFN T 7.
TELEPHONE
743-1130
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
AT.PTNF.T, .
MAIR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 9 PARCELS NORTH OF G IDNEXREE RD.
Energy Plan Checking Fee
$
$
PERMIT FEE
S
_
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑, Duplex ❑ Mobilehome ❑ Other .1?. CF
I sPE 4 'T+' �� '
Each Trap7.00
Solar or heat pum water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
Irl
New:'❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home. IS I GI W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AoRLESS
23.00 91
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSINGL
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: a
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC.
SO
3.5Q�:
_L
NON-RESIDT BRANCNE ONI CICU
@7.50
8 E
OUTLET OWER APPARATUCIR.S
OUTLET OR FocruREs
Ex. Occup.SAL
20 @ 1.00
@ .50
PPLNS
Ex. Occup. ou7LEEDTs RES D.OEa
5.00
Temporary Service
23.00
Mobile Home' Facilities
20.00
Misc. Wiring
23.00
1. T
-23.00
21 1210
_ PERMIT FEE
-
i q f1
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
-
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
f
10-9-7c
X i ,Q_- __ Date _/'" L
Sig a ure 6?A p cant - ❑Owner ❑tractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee s
Energy Inspection Fee $
occ
CONST. TYPE
, TOTAL FEE $ 89.00
FEES IMP
I FLOOD
COF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and%or
indicated above for which -fees have
By
PERMIT EXPIRES ON
'
the applicable provisions
Resolutions to do work
been paid.
Date
Dale
Receipt No. 131052
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�a �.--v...s.�,Q�.�•r-9..--".r•..�i=-. -�i'w.-.o-q�.'R�F i�' `..� � p.r` !�. •--.'T �lq,•,�-rZO�.,-`i►, •�'y�-l.�o ...�F-ui-l.�a"q,.s--+w-.yo ..yr.,-. ..r.....- 4D..
•COUNTY OF BUTTE- DEPARTMENT OF DEVELOPM ENT S ERVICES - BUILDING DIVISION
.. ,r 7 County Center"Drive - Oroville, California 95965 - Telephone (916) 538-7541 n r7 PE�MIT to.
(Rev. 12/96) r 4 r APPLICATION AND PERMIT �"'( ,
^ASSESSOR PARCEL NUMBER `
n25-160=007
ZONING
BUILDING PERMIT
OWNER «1
AT V_Y JTMF9V7.
TELEPHONE
743-1130
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
6117116 PTP WAY, M RY_ T ..P g5��
C, 1t fR'S NAME
TELEPHONE
C�`$2,
OJJji++N�Tr RACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checkin Fee
$
BUILDING ADDRESS 9. PARrPIR NORTH F 1914 T.ONETRER RT).
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO. •
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USE OF STRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other ELE SER 4 Rp
saECIFvK 1 t 1 hA �• '1
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New- ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
500V OR UE9
Main Service 200A OR LESS
23.00 Z {)()
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: RTem
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service ( 200A To 1000A
46.00
NEW CONST. DWELLING OCCUR
OR AODNS. ( & ACC. BUDS.
so
3.50FT,
N 0059
NON -RES DT .ANcI' CIRCLUI
@7.50
APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FUTURES
20 Q 1.00
BAL @ .so
Ex. Occup. OEESSID.OE
UTS RA.
5.00
orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
AA 4P
— PERMIT FEE
$ Rn nn
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
w of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�J////n / % / j(1 ' 7
� A r �� Date
Signature of Ap00 ant- ❑/finer ❑tractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ 89.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under
of the Butte CountyCode and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date _
Date
ReceiptNo. C31 U,14
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
025-160-097 PERMIT#97-2311
JIMENEZ, Alex
Lone Tree Rd., Oroville
Ele Ser for Lot Development
rte...-., �.-�---.r.,v.rv+-nw'R-�'-'T'f.++rrswvw-=r•.+`rww�s,-.-+r.^.^l,•-n+'4"r',v�7'v,C''"...'�,R„wF°`�7-'7'�rr'... ....z:., .. ..
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ^PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TIMPM
TELEPHONE
743-'11TJ q�
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
J'� r /
W,f,k p'[QR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 2 PARGMS NOM OF 1514 10NME-E, 0.
Energy Plan Checking Fee
$
ORMUE
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other np. sm, j�,,1,( ,,,,
SPECIFY 1,W r �'► ='�
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ( A OR LESS
23.00 23,00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS In full force and effect.POWER
License Class LIC. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason.001
Main Service ( TO
46.00so
CCUOOOA
NEW coNsr. owEUING occuP.
DWE200ALLING
OR ADDNS. ( 6 ACC. BLDS.
so
3.50FT.
=.r.g S R ULT'-OCUTCLET
97,50
APPARATUS
d SINGLE OUTLET C'R.
Ex. Occup. OUTLET OR FIXTURES
BAL .50
Ex. Occup. ouTELErs AEs'o.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23,M
PRE.—INSPE MON
3 .00
PERMIT FEE
$ 89
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
,IQ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
J
X i' r Y v%. :�w, l r Date _` L _ r _
Signature of'Appllcant - ❑Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 89.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
�-� 1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement : YES , NO 13
2. I HAVEA HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:.
NAMEo
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: _�-
-- —This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health -and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Kam
I OWNER BUILDER INFORMATION ' 1
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself irom'possible
liability if that person applies for the proper permit in his or her name.
. Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer,. you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, .federal social security taxes,:'
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their. own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrae!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+irely,
Vi iia, C.B.O.uilding Inspection
NOTE. This Owner-Builder.Information is required by Seddon 19830 of the California Health and Safety Code-
OVER
ode
OVER
COIJNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 q)';5E "IT NO.
(Rev. 12/96) APPLICATION AND PERMIT pC' �T
ASSESSOR PARCEL NUMBER 1 ���
ZONING
BUILDING PERMIT
OWNER J ' - ` — �
11VJ
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MANn ADDRESS -
-(o L O
CONTRACTOR'S NAME
TtLeHONE
30
CONTRACTORS NG DESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINE 5 MAI ADDRESS r
S
Plan Checking Fee
$
BUILDING ADDRESS
• ����
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO. SUBDNIS IONS NAME IPARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
v7
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe W rk:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filin Fee 20.00
Main Service x�o. oa,�ss
23.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00 i
NEW CONST. owEUING OCCUP.
OR ADDNS. ( 8 ACC. BLAS.
Si
y.
3.50Fr.
pES1� MULTMOUTLET
RQUITS
@7.50
POWER APPARATU
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES
200 100
akL @ :50
APPI
Ex. Occup. OFUTTLEEDTS R61D°Ew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wir'
23.00
<
pE IT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 dertify that In the performance of-tK -work for -which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
ACC
CONST. TYPE
TOTAL FEE $
HA2.
D. FEES
IMP
I FLOOD
CDf
PARC
HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Dale
Receipt No.32
WHITE-O.D.S.- .D. CANA-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965-3397
ALEX JIMENEZ
6106 ALPINE WAY
MARYSVILLE, CA '.95903..
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTICE
Post this job card In a safe conspicuous place. Do not
remove until all required inspections are made and
building is approved for occupancy. Plans must be
available on the job site.
A.F025-160-097__ ._.._...PERMIT#97-2311.......'
0 JIMENEZ, Alex
Lone Tree Rd: , "Oroville "—"
CI`El'e : Ser_for..Lot_Development,,., I
PERMITTEE MUST CALL
FOR INSPECTIONS
Footings
Piers
Underground Conduit
Pre-Gunite
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Do Not.Install Floor'or.Slab Until Above Signed
Rough Plumbing
Rough Electrical
Rough Mechanical
Framing
Shower Pan
nsuiation
9
Do Not Continue iFireplacii Until Above Signed
Stucco Lath
Scratch and Brown
<. Do'Not Cover Until Above. Signed
Sewer Service
Water Service
Pool Final
Plumbing Final
Electrical Final
Mechanical Final
Building or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
Addresses:Information 24=Hr Ins
Oroville 7 County Center Dr. 538-7541 538-7636
Chico 891-2751 1 891-2834
Revised 7/94
I
--------------
025-0 PERMIT#97-2311
MJIENEZ, ` y
Alex `
,Lone Tree Rd., Oroville
Ele Ser for Lot Development
I `
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
FOR YOUR CONVENIENCE
USE THIS CARD WHEN CALLING FOR INSPECTION
24 HOUR INSPECTION REQUEST SERVICE
PHONE NUMBERS: Oroville Office: 538-7636
Chico Office: 891-2834
(Lines will be out of service 7:30 A.M. to 8:00 A.M.)
Please write down your information prior to calling this number. Speak slowly and
clearly. Sequence of information required to make inspection request:
Building Permit #
Owner's Name
Job Location
Type of Inspection Wanted
Date Inspection Wanted
PLEASE USE THIS SERVICE FOR ALL INSPECTION REQUESTS
For other business contact: Oroville Office - 538-7541 (Mon-Thurs, 8:00 - 4:00)
Chico Office - 891-2751 (Mon-Thurs, 8:00-12:00 & 1:00-4:00)
BUTTE COUNTY
NAME
ADDRESS
PLEASE POST THIS IDENTIFICATION CARD IN A
CONSPICUOUS PLACE AND VISIBLE FROM THE ROAD
12/2/90 A.P.N.
LAND DEVELOPMENT
BUILDING / ENVIRONMENTALHEALTH'- PERMIT CLEARANCE Building Permit No.
OWNERS — A.P. ^^
NAME: \ J f /iq e ep -e A-ez NUMBER: C,CYS __ 1 L-00 - L, CL7
vRINT LAST NAME RIOT
COUNTY ZONING ^ I�
DESIGNATION: A FLOOD ZONE: X FLOOD MAP: D g
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP 44.Z4 A G
DEED INFORMATION: IC I S T G I, I0LACd
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING �I S S LOT BOOK I O 3 PAGE 8 5
COMPLIANCE WITH OLD SUBDIV ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone.C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of roads
_ 2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
_ 4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
_ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
—9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
— 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-35577010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pile d09 Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
_X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered during ground disturbing -activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site:
significance and suggest appropriate mitigation measures.
X21. S I 3 M 8 C, f:12e C C)ct4cTt oIJS OEfNI;--- NT -S
22.
23.=
24.
25.
26.
A13uns �0 A31Nnoo
166E Z � �dW
%goo
LD 7/96
CAWP51 TORMS.K\BLDGPERM.CLR
} lind r a d Lu sa S; ynt, �eZ
OWNER:
LOCATII
CONTRACTOR '
DATE: / �/ '—' � < `c?' 7
r
ZONING:
1
PRE -INSPECTION FOR / h ,`C, y
DATE TO INSPECMRY
PERMIT HISTORY: C},6�E [ JAS FOLLOWS:
TYPE OF OCCUPANCY:
BUILDING INSFECTOW S REPORT
ag Description:
[ ] Commercial/Usage:
[ ] Residential/4 of Units: Mobile Home: Yes(.
] No[ ]
[ ] Currently Occupied.
[_ ] Abandoned/Vacant.
ic:
[ ] Yes [ No
Electric is currently : [ ] On [ ] Off
Condition of electrical?
Natural
Propane(' ] None[ Currently On[ ] O$[ ]
[ ] P
Obvious problems:
tion: �...
Plumbingworking . Yes[ ] No[ ].
Well: Yes[ No[ J Potable water: Yes[ No
Obvious Sewage Problems:
n Recommended: [ ]Issue
, 61
for:
Date: 10 10--111 —1
10/27/97
MEMO FOR RECORD:
A.P. #025-160-097
I will be using the electric service on this property only for future lot development. I will not live
on the property until I obtain building permits. The existing travel trailers on the property will be
dead stored (not connected to utilities or occupied), parked only.
Alex Jimenez
4
0
y
f
4
0
. h.. .. ffutte countu r
Dear Property Owner:
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (I -Jill) GALL- F, Dheclut
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7681
RONALD D. McELROY
Deputy Director
RB: Private Road Name
We are in the process of naming all unnamed private roads in the
County with three or more residences thereon to insure proper mail
delivery and to help emergency agencies (fire, ambulances, sheriff)
locate your residence.
We have received a proposed road name for the private road which
serves as access to your property from one of the property owners
along your road (see attached petition).
Please advise if this road name is satisfactory to you. If we do not
hear from you within 14 days from the date of this letter, we will
assume the name is satisfactory and will assign the name to the road.
If you have any questions, please contact this office at your
convenience, Phone No. 916/538-7339, or 7 County Center Drive,
Oroville, CA 95965.
Very truly yours,
William Cheff
Director of Public Works
Doug Anold
Street Address Coordinator
DA: as
At t.
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Bui/ding Permit No._
OWNERS A.P.
NAME: L��—��-�/�� NUMBER:
PRINT LAST NAME FIRST
ADDRESS / LOCATION:
COUNTY ZONING i<v 'I'Q
DESIGNATION: /�/ 5 FLOOD ZONE: /� FLOOD MAP: 456)
/ G
APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP 2q Ac
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING �� Sof LOT —3 BOOK 3 PAGE 66
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES '� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
_ 3. Comply with Zoning code for building setback from road.
_ 4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_ 6. Pay water tender fees in the amount of $_
to Battalion Number
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
9. Connect to a public sewer system.
of the Butte County Fire Department.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement..Payinent to be made to the Planning Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code'for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic.Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code. �r
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate -mitigation measures.
V 21. S 103 M S(0 royz Lo CA -no,\/ Qf= EltiENT S
r
22
23
24
25
26.
'Ala 1N3Wd013A3a aw
3108 30 A1Nf100
1661 0 1 i n r
LD 5,87